在尼日利亚拉各斯,艾滋病毒感染青少年中,心理社会功能障碍和性发展延迟
Somtochukwu Rose Akunne1, Elizabeth Eberechi Oyenusi2, Adeseye Michael Akinsete3
1Department of Paediatrics, Lagos University Teaching Hospital, Idi-araba, Lagos, Nigeria;
概括
迟到的青春期和心理问题是艾滋病毒感染青少年的潜在问题. 这项研究发现,尼日利亚艾滋病毒阳性和艾滋病毒阴性青少年之间的性发育延迟或心理社会功能障碍没有显著差异.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 青少年健康 青少年健康
背景情况:
- 由于抗逆转录病毒疗法增加了与人类免疫缺陷病毒 (ALHIV) 感染的青少年的生存率,突出了潜在的长期并发症.
- 迟到的青春期和心理问题是ALHIV的记录问题,但尼日利亚的数据有限.
- 了解ALHIV性发育迟缓 (DSD) 和心理社会功能障碍 (PSD) 之间的相互作用对于综合护理至关重要.
研究的目的:
- 确定尼日利亚ALHIV中DSD和PSD的流行率.
- 调查ALHIV中DSD和PSD之间的关联.
- 为了比较ALHIV和HIV阴性青少年之间的DSD和PSD患病率.
主要方法:
- 在尼日利亚拉各斯大学教学医院进行了一项横截面研究.
- 144个ALHIV和144个年龄,性别和社会阶级匹配的HIV阴性对照参与了.
- 使用坦纳分期评估性发展,使用儿科症状检查清单工具评估心理社会功能.
主要成果:
- 在ALHIV中,DSD的患病率为9.4%,在对照组中为6.4% (p=0.402).
- 在ALHIV中,PSD的患病率为4.9%,在对照组中为5.6% (p=0.791).
- 在两组中都没有发现PSD和DSD之间的显著关联 (p=0.459和p=0.301).
结论:
- 在艾滋病毒感染和不感染的青少年中,PSD和DSD的患病率较低,相似.
- 在这个尼日利亚队列中,PSD和DSD之间没有发现任何关联.
- 建议在青少年中进行PSD常规查,以早期检测和管理.
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